Brendan Domenic Didiano, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025671 Issued in PA

Practice address

505 Weyman Rd
Pittsburgh, PA 15236-1584

Phone

(412) 884-3500

NPI assigned

Aug 31, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1275147076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 ROLLING GREEN DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151023710",
            "telephone_number": "412-977-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WEYMAN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361584",
            "telephone_number": "412-884-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIANO",
        "first_name": "BRENDAN",
        "middle_name": "DOMENIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "whitehall",
            "affiliation": "Y",
            "affiliationName": "Whitehall Borough-Pittsburgh PA, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 Weyman Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152361584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Larue Dickson, M.A.
• Sara Jean Dickson
• Nadia Diclemente
• Gabriel T Dicostanzo, D.M.D
• Meha Dicostanzo, M.D.
• Christina Sara Didiano, DPT
• Mara Beth Didiano, DPT
• Meagan Ann Didiano, PA-C
• Philip A Didomenico, DC
• Rosalynn Didomenico, PHARMD

• Physical Therapist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.